RTPP 04 STUDY GUIDE WITH
COMPLETE SOLUTION
Classic signs and symptoms of MI and ACS - ANSWER -severe crushing
substernal chest pain
-radiating numbness/pain down left arm/jaw
-sweating
-nausea
-dizziness/weakness
-SHOB
What does ACS mean? - ANSWER acute coronary syndrome
Acute coronary syndrome (ACS)6 - ANSWER reduced blood flow to the
heart (myocardial hypoxemia) caused by obstruction of coronary vessels
MI stands for - ANSWER Myocardial Infarction
MI - ANSWER death or damage to heart tissue due to
ischemia (lack of blood flow)
what are the sign of MI on an EKG? - ANSWER elevated ST, heart block and
PVC
what are the cardiac enzymes and markers used to ID MI or ACS? - ANSWER
-Troponin
,-Myoglobin
-Natriuertic peptides
-Creatine kinase
Troponin - ANSWER increases 3-12 hours from onset of MI
Myoglobin - ANSWER EARLIEST MARKER
2 hours from onset of MI
Natriuretic peptides - ANSWER presence indicates poor prognosis with MI
Creatine Kinase - ANSWER increase 3-12 hours from onset of MI
what are 2 methods for coronary revascularization? - ANSWER
percutaneous coronary angioplasty:
-balloon angioplasty (balloon dilation of an artery)
-stent placement (placed after angioplasty to keep vessel open)
CABG (Coronary Artery Bypass Graft) - ANSWER Open heart surgery
involving arterial bypass using a transplanted vein from legs
Most common drugs to treat angina and ACS? - ANSWER -Ionotropes
-nitroglycerine
-anti-platelets
-thrombolytics
-vaso dilators
, Initial tx for ACS? - ANSWER MONA
-morphine
-Oxygen
-nitroglycerin
-aspirin
Ionotropes do what? - ANSWER increase force of contraction,extends filling
time which increases perfusion
Ionotrope drugs: - ANSWER -digoxin
-digitalis
Thrombolytics do what? - ANSWER break up/dissolve clots
thrombolytic drugs - ANSWER -Alteplase
-Reteplase
-Streptokinase
beta blockers do what - ANSWER slow hr to increase ventricle filling
COMPLETE SOLUTION
Classic signs and symptoms of MI and ACS - ANSWER -severe crushing
substernal chest pain
-radiating numbness/pain down left arm/jaw
-sweating
-nausea
-dizziness/weakness
-SHOB
What does ACS mean? - ANSWER acute coronary syndrome
Acute coronary syndrome (ACS)6 - ANSWER reduced blood flow to the
heart (myocardial hypoxemia) caused by obstruction of coronary vessels
MI stands for - ANSWER Myocardial Infarction
MI - ANSWER death or damage to heart tissue due to
ischemia (lack of blood flow)
what are the sign of MI on an EKG? - ANSWER elevated ST, heart block and
PVC
what are the cardiac enzymes and markers used to ID MI or ACS? - ANSWER
-Troponin
,-Myoglobin
-Natriuertic peptides
-Creatine kinase
Troponin - ANSWER increases 3-12 hours from onset of MI
Myoglobin - ANSWER EARLIEST MARKER
2 hours from onset of MI
Natriuretic peptides - ANSWER presence indicates poor prognosis with MI
Creatine Kinase - ANSWER increase 3-12 hours from onset of MI
what are 2 methods for coronary revascularization? - ANSWER
percutaneous coronary angioplasty:
-balloon angioplasty (balloon dilation of an artery)
-stent placement (placed after angioplasty to keep vessel open)
CABG (Coronary Artery Bypass Graft) - ANSWER Open heart surgery
involving arterial bypass using a transplanted vein from legs
Most common drugs to treat angina and ACS? - ANSWER -Ionotropes
-nitroglycerine
-anti-platelets
-thrombolytics
-vaso dilators
, Initial tx for ACS? - ANSWER MONA
-morphine
-Oxygen
-nitroglycerin
-aspirin
Ionotropes do what? - ANSWER increase force of contraction,extends filling
time which increases perfusion
Ionotrope drugs: - ANSWER -digoxin
-digitalis
Thrombolytics do what? - ANSWER break up/dissolve clots
thrombolytic drugs - ANSWER -Alteplase
-Reteplase
-Streptokinase
beta blockers do what - ANSWER slow hr to increase ventricle filling
